With the Medicare Prescription Payment Plan (M3P) set to impact every area of a plan’s business, mapping out a coordinated plan to implement program requirements is vital for continuous plan success.
Watch an in-depth webinar to explore the complexities of the Medicare Prescription Payment Plan (M3P) and uncover strategies for creating organizational improvements to address this new regulatory challenge. Our Expert Advisory Services team broke down the key components of the program, when changes will need to be made at a plan-level and how to prepare staff and processes for the program’s demands.
The webinar presented regulatory insight from:
- Dwight Pattison, Executive Advisor
- Nora Tomassian, Senior Advisor
- Brent Hiley, Senior Advisor
- Kent Holdcroft, Chief Growth Officer
Get the on-demand webinar, presentation slides and an M3P operational checklist to identify opportunities to improve plan performance.
Download the recording and resource to understand:
- A breakdown of what the M3P program means for members, plans and pharmacies
- Requirements for the opt-in and opt-out process, and notifying members of the program, missed payments, terminations and appeals
- How to manage payments and related processes, including missed payments, terminations and rejoining of the program
- The overlap between supporting members through M3P and CAHPS scores
- Estimated costs of members not paying an invoice and how to handle potential financial losses
- New website requirements and the importance of a seamless onboarding experience
- Which teams need M3P training and when that training needs to be completed to support members
- The changes to how plans process invoices with PBMs and pharmacies
- What to consider when deciding between implementing a program in-house or working with a third-party vendor
- An example of a full implementation timeline for 2024 and how plans can reach regulatory deadlines
Contact us to develop a tailored action plan that will guide your plan to success and eliminate member abrasion.
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Overcome M3P Financial and Operational Challenges
With the Medicare Prescription Payment Plan (M3P) set to impact every area of a plan’s business, mapping out a coordinated plan to implement program requirements is vital for continuous plan success.
Watch an in-depth webinar to explore the complexities of the Medicare Prescription Payment Plan (M3P) and uncover strategies for creating organizational improvements to address this new regulatory challenge. Our Expert Advisory Services team broke down the key components of the program, when changes will need to be made at a plan-level and how to prepare staff and processes for the program’s demands.
The webinar presented regulatory insight from:
- Dwight Pattison, Executive Advisor
- Nora Tomassian, Senior Advisor
- Brent Hiley, Senior Advisor
- Kent Holdcroft, Chief Growth Officer
Get the on-demand webinar, presentation slides and an M3P operational checklist to identify opportunities to improve plan performance.
Download the recording and resource to understand:
- A breakdown of what the M3P program means for members, plans and pharmacies
- Requirements for the opt-in and opt-out process, and notifying members of the program, missed payments, terminations and appeals
- How to manage payments and related processes, including missed payments, terminations and rejoining of the program
- The overlap between supporting members through M3P and CAHPS scores
- Estimated costs of members not paying an invoice and how to handle potential financial losses
- New website requirements and the importance of a seamless onboarding experience
- Which teams need M3P training and when that training needs to be completed to support members
- The changes to how plans process invoices with PBMs and pharmacies
- What to consider when deciding between implementing a program in-house or working with a third-party vendor
- An example of a full implementation timeline for 2024 and how plans can reach regulatory deadlines
Contact us to develop a tailored action plan that will guide your plan to success and eliminate member abrasion.
Speakers
Dwight Pattison is a consultant with over twenty years of healthcare industry experience focused on quality management, performance improvement, data analytics, and reporting. Fueled by a strong background in Medicare and Medicaid reporting and regulatory compliance, Dwight has directly led MCOs in achieving significant performance improvement results across numerous markets and product lines.
Ana brings more than 20 years of healthcare and health plan experience to Healthmine. She most recently came from WellSense Health Plan, formerly Boston Medical Center HealthNet Plan. She had oversight of work related to Stars, HEDIS®, NCQA, Quality Rating System, External Quality Review Organization, population health programs, new product implementation, value-based care programs, policy advocacy and health equity programs.
Ana developed multiple innovative member and provider interventions that were integral in the successful improvement of key HEDIS and Consumer Assessment of Healthcare Providers and Systems (CAHPS) quality measures and meeting corporate and contractual goals. She has experience with successfully identifying and implementing new to industry initiatives, such as texting, with proven quality and financial improvement. Ana is bilingual in English and Spanish and has used this in community initiatives to help engage members and improve the quality of care for the Medicaid, Medicare, Affordable Care Act, and Commercial populations.
Ana holds a master’s degree from Simmons University in Health Administration and a bachelor’s degree from the University of New Hampshire.
Brent has over 25 years of pharmacy experience, spanning retail, hospital and managed care settings.
Formerly the Director of Account and Product Management for Government Programs at a Pharmacy Benefit Manager, he led strategic initiatives to optimize pharmacy benefit services for Medicare and Medicaid clients. Brent served as the Director of Pharmacy for multiple Medicare Advantage plans.
Overcome M3P Financial and Operational Challenges
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With the Medicare Prescription Payment Plan (M3P) set to impact every area of a plan’s business, mapping out a coordinated plan to implement program requirements is vital for continuous plan success.
Watch an in-depth webinar to explore the complexities of the Medicare Prescription Payment Plan (M3P) and uncover strategies for creating organizational improvements to address this new regulatory challenge. Our Expert Advisory Services team broke down the key components of the program, when changes will need to be made at a plan-level and how to prepare staff and processes for the program’s demands.
The webinar presented regulatory insight from:
- Dwight Pattison, Executive Advisor
- Nora Tomassian, Senior Advisor
- Brent Hiley, Senior Advisor
- Kent Holdcroft, Chief Growth Officer
Get the on-demand webinar, presentation slides and an M3P operational checklist to identify opportunities to improve plan performance.
Download the recording and resource to understand:
- A breakdown of what the M3P program means for members, plans and pharmacies
- Requirements for the opt-in and opt-out process, and notifying members of the program, missed payments, terminations and appeals
- How to manage payments and related processes, including missed payments, terminations and rejoining of the program
- The overlap between supporting members through M3P and CAHPS scores
- Estimated costs of members not paying an invoice and how to handle potential financial losses
- New website requirements and the importance of a seamless onboarding experience
- Which teams need M3P training and when that training needs to be completed to support members
- The changes to how plans process invoices with PBMs and pharmacies
- What to consider when deciding between implementing a program in-house or working with a third-party vendor
- An example of a full implementation timeline for 2024 and how plans can reach regulatory deadlines
Contact us to develop a tailored action plan that will guide your plan to success and eliminate member abrasion.
Featured presenters
Dwight Pattison is a consultant with over twenty years of healthcare industry experience focused on quality management, performance improvement, data analytics, and reporting. Fueled by a strong background in Medicare and Medicaid reporting and regulatory compliance, Dwight has directly led MCOs in achieving significant performance improvement results across numerous markets and product lines.
Ana brings more than 20 years of healthcare and health plan experience to Healthmine. She most recently came from WellSense Health Plan, formerly Boston Medical Center HealthNet Plan. She had oversight of work related to Stars, HEDIS®, NCQA, Quality Rating System, External Quality Review Organization, population health programs, new product implementation, value-based care programs, policy advocacy and health equity programs.
Ana developed multiple innovative member and provider interventions that were integral in the successful improvement of key HEDIS and Consumer Assessment of Healthcare Providers and Systems (CAHPS) quality measures and meeting corporate and contractual goals. She has experience with successfully identifying and implementing new to industry initiatives, such as texting, with proven quality and financial improvement. Ana is bilingual in English and Spanish and has used this in community initiatives to help engage members and improve the quality of care for the Medicaid, Medicare, Affordable Care Act, and Commercial populations.
Ana holds a master’s degree from Simmons University in Health Administration and a bachelor’s degree from the University of New Hampshire.
Brent has over 25 years of pharmacy experience, spanning retail, hospital and managed care settings.
Formerly the Director of Account and Product Management for Government Programs at a Pharmacy Benefit Manager, he led strategic initiatives to optimize pharmacy benefit services for Medicare and Medicaid clients. Brent served as the Director of Pharmacy for multiple Medicare Advantage plans.
